Community Heart Failure Nurse Team Claire McCormack, Bridget Emmerson Tracey Hardcastle, Laurie Mattock Andrea Clifford, Matthew Creed
• Our Role • Typical community visit Scenario • Take home messages
Our Role Hospital Multi-disciplinary avoidance working Education Palliation Optimising medications Psychological Key support professional Clinical link Assessment of the patient
Take Home Messages • Early referral to Heart Failure Team as inpatient not on discharge • Discharge advice continuation of fluid allowance, daily weight monitoring and medicine adherence. • Pick up ‘cues’ of symptoms deteriorating and escalate up to your Matron/GP
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